TEST BANKFOR
j j
PRIMARY CARE, A
A. j j
COLLABORATIVE
A.j
PRACTICE,7THEDITION
j j j
BUTTARO j
,https://www.stuvia.com/
Test Bank j 2
Terry Buttaro,JoAnnTrybulski,PatriciaPolgar-Bailey j j j j j
A.j JoanneSandberg-Cook j
Chapter 1:The Evolving Landscape of jA. j j A. j A. .j A .
A
jCollaborativePractice j
A. Test Bank j
A.j MultipleChoice j
1. Which assessments of care providers are performed as part of the
A. j A . .j A .
A A.j A. A.j A . .j A.
A .j A .
A j A. A.j A . .j A.
A A.j A. .j
A
Value BasedPurchasinginitiative?
A. A . j A. j
Select all t hatapply. j j j
a. Appraising costs per caseofcare for Medicare patients A.j A . j j j j j A.j A. A.j A.
b. Assessing patients’ satisfaction with hospital care A.j .jA A.j j A.j
c. Evaluating available evidence toguide clinical care guidelines A.j A . j .j A.
A j .j A.
A j A. j
d. Monitoring mortality rates ofall patients with pneumonia j A.j A . j j j A. A.j A . j A.
e. Requiring advanced IT standards andminimum cashreserves A.j A. j .jA j j A. j A. j
ANS: A, B, D A.j A . .jAA. j
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
A.j j A.j A.j A.j A.j j A.j A.j A.j A.j A.j A.j A.j A.j
A. care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
A.j A.j A.j A.j A.j A.j A.j A.j A.j A.j A.j A.j A. A.j
A.j (mortality rates for certain conditions. Evaluation of evidence to guide clinical care is part of
A.j A.j A.j A.j A.j A. A.j A.j A.j j A.j j A.j A. A.j A.j
A.j evidence-based practice. The requirements for IT standards and financial status are A.j A.j A.j A.j A.j A.j A.j A.j j A.j
A.j part of Accountable Care Organization standards. REF: Value Based Purchasing
j j A.j j A.j A.j j j j
,https://www.stuvia.com/
Buttaro: Primary Care, A Collaborative Practice, A . j A . j A. A . j A . A. j A . A. j A.
2. What was an important finding of the Advisory Board survey of 2014
A.j A . A.j A . A.j A . A.j A . A . j A. A.j A . A.j A . A.j A . A.j A . A.j A. .jAA. .jA
A. about primary carepreferences of patients?
A. A.j A. A.j A . A.j
a. Associations with areahospitals A.j A . j j
b. Costs ofambulatory care j j A. j A .
c. Ease of access to care j A.j j j
d. The ratio of providers topatients j j A. j j A. j
ANS: A. j A . C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to
A.j A.j A.j A.j A.j A.j A.j A. j j j A.j A.j A.j A.j A.j
care, walk-in settings and the ability t o be seen within 30 minutes, and care t hat is close to
A.j A.j A.j A.j A.j A.j A.j A.j A.j A.j A.j A.j A.j A.j A. A.j A.j A.j j
home. Associations with hospitals, costs of care, and the ratio of providers to patients were
A.j A.j A.j A.j A. A.j A.j A.j A.j A.j A.j j A. A.j A.j j A.j
A.j not part of these results. REF: The New Look of Primary Care
A.j j A.j A. A.j A. A.j A . j A.j A . j A.j A.j A. A.j A .
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and
A.j A. A.j A. j A.j A. A.j j j .jA A.j A. j A.j A.j
is designatedas a Level 1 ACO. What is part of t his designation?
A.j j j j .jA A . A.j j A.j A. A.j A . j j A.j A .
a. Bonuses based onachievement ofbenchmarks .j A .
A j j .jA j
,https://www.stuvia.com/
Test Bank j 2
b. Carecoordination for chronic diseases
j A.j A . A.j A. A.j A .
c. Standardsfor minimum cashreserves j A.j A . j A. j
d. Strict requirements for financial reporting
.jA A.j A. j j A.
ANS: A. j A . A
A Level 1 ACO has t he least amount o f f inancial risk and r equirements, but receives
A . j A. j A . j A . j A . j A . j A . j A . j A . j A . j A . j A . j A. j A . j
shared savings bonuses based on achievement of benchmarks for quality measures and
j j A.j A.j A.j A. A.j A. j A.j A.j A.j A.j A.j
A.j expenditures. Care coordination and minimum cash reserves standards are part of Level 2
A.j A.j A.j A.j A. j j A.j A.j A.j A.j A.j A.j
A.j ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
A.j A.j A.j A.j A.j A.j A.j A.j A.j A.j
A.j REF:Accountable Care Organizations
j A.j j